Shana B Deloach, CNM, FNP in Gainesville, GA - Medicare Advanced Practice Midwife

Shana B Deloach, CNM, FNP is a medicare enrolled "Advanced Practice Midwife" in Gainesville, Georgia. Her current practice location is 725 Jesse Jewell Pkwy Se, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 297-2200.

Shana B Deloach is licensed to practice in Georgia (license number RN216236) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609218601.

Contact Information

	Shana B Deloach, CNM, FNP
	725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834
	(770) 297-2200
	(770) 534-8139

Map and Direction

Provider's Profile

Full Name	Shana B Deloach
Gender	Female
Speciality	Advanced Practice Midwife
Location	725 Jesse Jewell Pkwy Se, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609218601
Provider Enumeration Date: 07/19/2013
Last Update Date: 10/24/2018

Medicare PECOS Information:

PECOS PAC ID: 5496980757
Enrollment ID: I20131023000846

Medical Identifiers

Medical identifiers for Shana B Deloach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609218601	NPI	-	NPPES
003142037L	Medicaid	GA
04702359	Other	GA	AMERIGROUP
003142037N	Medicaid	GA
1368524	Other	GA	WELLCARE
003142037K	Medicaid	GA
003142037M	Medicaid	GA
003142037O	Medicaid	GA
003142037J	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN216236 (Georgia)	Secondary
367A00000X	Advanced Practice Midwife	RN216236 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shana B Deloach allows following entities to bill medicare on her behalf.

Entity Name	The Longstreet Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shana B Deloach is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shana B Deloach, CNM, FNP Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 297-2200	Shana B Deloach, CNM, FNP 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (770) 297-2200

Reviews and Comments

Advanced Practice Midwife Nurses in Gainesville, GA

Vivian Clare Gradin, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Suite 200, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139
Amanda Turner Driskell, RN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139
Ruth Sherry, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139
Destiny D Gilder, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139
Diane S Tandy, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1285 Sims St, Gainesville, GA 30501 Phone: 770-536-0149 Fax: 770-536-0317
Sally A. Monroe, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139
Kimberly Patton Blasingame, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139

Shana B Deloach, CNM, FNP - Medicare Advanced Practice Midwife in Gainesville, GA